Effects after the lockdown on emergency room admissions for psychiatric evaluation: An observational study from the province of Forlì-Cesena, Italy

Submitted: 23 April 2021
Accepted: 16 August 2021
Published: 21 September 2021
Abstract Views: 510
PDF: 216
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Authors

The aim was to study the number of accesses to the Emergency Room (ER) requiring psychiatric evaluation in the four months following the lockdown period for the COVID-19 outbreak (May 4th, 2020-August 31th, 2020). The study is a retrospective longitudinal observational study of the ER admissions of the Hospitals of Cesena and Forlì (Emilia Romagna region) leading to psychiatric assessment. Sociodemographic variables, history for medical comorbidities or psychiatric disorders, reason for ER admission, psychiatric diagnosis at discharge and measures taken by the psychiatrist were collected. An increase of 9.4% of psychiatric assessments was observed. The difference was more pronounced in the first two months after lockdown, with a 21.7% increase of number of ER accesses, while after two months numbers were the same as those of the year before. Admission with anxiety symptoms and history of psychiatric disorder decreased significantly. Moreover, there is an age trend with an increasing age of admission.

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Nurchis MC, Pascucci D, Sapienza M, et al. Impact of the Burden of COVID-19 in Italy: Results of Disability-Adjusted Life Years (DALYs) and Productivity Loss. Int J Environ Res Public Health 2020;17:4233. DOI: https://doi.org/10.3390/ijerph17124233
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395:912-20. DOI: https://doi.org/10.1016/S0140-6736(20)30460-8
Beghi M, Brandolini R, Casolaro I, et al. Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy. Int J Psychiatry Clin Pract 2020;21:1-5.
Pignon B, Gourevitch R, Tebeka S, et al. Dramatic reduction of psychiatric emergency consultations during lockdown linked to COVID-19 in Paris and suburbs. Psychiatry Clin Neurosci 2020;74:557-9. DOI: https://doi.org/10.1111/pcn.13104
Hoyer C, Ebert A, Szabo K, et al. Decreased utilization of mental health emergency service during the COVID-19 pandemic. Eur Arch Psychiatry Clin Neurosci 2021;271:377-9. DOI: https://doi.org/10.1007/s00406-020-01151-w
Gonçalves-Pinho M, Mota P, Ribeiro J, et al. The impact of COVID-19 pandemic on psychiatric emergency department visits - A descriptive study. Psychiatr Q 2020;25:1–11. DOI: https://doi.org/10.1007/s11126-020-09837-z
Chen S, She R, Qin P, et al. The medium-term impact of COVID-19 lockdown on referrals to secondary care mental health services: A controlled interrupted time series study. Front Psychiatry 2020;11:585915. DOI: https://doi.org/10.3389/fpsyt.2020.585915
Cornaggia CM, Beghi M, Mezzanzanica M, et al. Psychotropic drug consumption and employment status in time of economic crisis (2007-2011). Psychiatr Q 2017;88:371-84. DOI: https://doi.org/10.1007/s11126-016-9448-9
O’Connor RC, Wetherall K, Cleare S, et al. Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study. Br J Psychiarty 2020;1-8. DOI: https://doi.org/10.31234/osf.io/r8cdw
Killgore WDS, Cloonan SA, Taylor EC, et al. Trends in suicidal ideation over the first three months of COVID-19 lockdowns. Psychiatry Res 2020;293:113390. DOI: https://doi.org/10.1016/j.psychres.2020.113390
Gabbard GO. Psychodynamic psychiatry in clinical practice, 3rd edition. Washington DC: American Psychiatry Press, 2000.
Fancourt D, Steptoe A, Bu F. Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. Lancet Psychiatry 2020;8:141-9. DOI: https://doi.org/10.1016/S2215-0366(20)30482-X
Gijzen M, Shields-Zeeman L, Kleinjan M, et al. The bittersweet effects of COVID-19 on mental health: Results of an online survey among a sample of the dutch population five weeks after relaxation of lockdown restrictions. Int J Environ Res Public Health 2020;17:9073. DOI: https://doi.org/10.3390/ijerph17239073
González-Sanguino C, Ausín B, Castellanos MA, et al. Mental health consequences of the Covid-19 outbreak in Spain. A longitudinal study of the alarm situation and return to the new normality. Prog Neuropsychopharmacol Biol Psychiatry 2020;107:110219. DOI: https://doi.org/10.1016/j.pnpbp.2020.110219
Fiorillo A, Sampogna G, Giallonardo V, et al. Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network. Eur Psychiatry 2020;63:e87. DOI: https://doi.org/10.1192/j.eurpsy.2020.89
Ritchie H, Mathieu E, Rodés-Guirao L, et al. Coronavirus Pandemic (COVID-19). Our World in Data; 2020. Available from: https://ourworldindata.org/coronavirus

How to Cite

Beghi, M., Brandolini, R., Biondi, L., Corsini, C., Fraticelli, C., Sant’Angelo, R., & De Paoli, G. (2021). Effects after the lockdown on emergency room admissions for psychiatric evaluation: An observational study from the province of Forlì-Cesena, Italy. Emergency Care Journal, 17(3). https://doi.org/10.4081/ecj.2021.9827